IndividualActive
Juan Diaz Roque, M.D.
NPI 1669768149 · Preventive Medicine/Occupational Environmental Medicine Physician · Charlotte, NC
Provider details
- NPI number
- 1669768149
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- R3312 (TX)
Practice location
855 S Mint St
Charlotte, NC 28202-1517
Phone: (704) 627-6086
Fax: (678) 785-3207
Mailing address
855 S Mint St
Charlotte, NC 28202-1517
Registry dates
- Enumerated
- 2011-06-23
- Last updated
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.